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Related Experiment Videos

Borderline personality disorder treated with the conversational model: a replication study.

Anthony Korner1, Friedericke Gerull, Russell Meares

  • 1Department of Psychiatry, Westmead and Cumberland Hospitals, PO Box 533, Westmead, NSW 2145, Australia. anthony_korner@wsahs.nsw.gov.au

Comprehensive Psychiatry
|August 15, 2006
PubMed
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Outpatient psychotherapy using the conversational model significantly improved borderline personality disorder (BPD) symptoms. This replication study confirms previous findings and shows better outcomes than treatment-as-usual.

Area of Science:

  • Psychiatry
  • Psychotherapy Research
  • Clinical Psychology

Background:

  • Borderline Personality Disorder (BPD) treatment has seen recent advancements.
  • The conversational model of psychotherapy by Hobson and Meares is an established outpatient treatment approach.
  • Previous research by Stevenson and Meares (1992) showed positive outcomes for BPD patients treated with this model.

Purpose of the Study:

  • To replicate the findings of Stevenson and Meares (1992) regarding the efficacy of the conversational model for BPD.
  • To evaluate the effectiveness of outpatient psychotherapy using the conversational model in a clinical setting.
  • To compare treatment outcomes between patients receiving the conversational model and a "treatment-as-usual" control group.

Main Methods:

  • A cohort of BPD patients received outpatient psychotherapy via the conversational model.

Related Experiment Videos

  • Patients were assessed at baseline and 12 months using symptomatic, functional, and objective measures.
  • The study group was compared to the original 1992 cohort and a wait-list control group receiving treatment-as-usual.
  • Main Results:

    • The later cohort treated with the conversational model showed improvement rates and degrees similar to the original 1992 cohort.
    • Significant improvements were observed in the psychotherapy group compared to the treatment-as-usual control group.
    • The findings suggest consistent efficacy of the conversational model in an outpatient setting.

    Conclusions:

    • This study provides the first replication demonstrating the success of individual psychodynamic therapy for BPD in an outpatient setting.
    • The conversational model of psychotherapy is an effective treatment for borderline personality disorder.
    • Outpatient psychotherapy, specifically the conversational model, offers a viable and effective treatment option for BPD patients.